Provider Demographics
NPI:1821630757
Name:EASTERN HEALING INC.
Entity Type:Organization
Organization Name:EASTERN HEALING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:G
Authorized Official - Last Name:HARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:630-653-4358
Mailing Address - Street 1:200 E. WILLOW AVE.
Mailing Address - Street 2:SUITE 202
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187
Mailing Address - Country:US
Mailing Address - Phone:630-653-4358
Mailing Address - Fax:630-653-8101
Practice Address - Street 1:200 E. WILLOW AVE.
Practice Address - Street 2:SUITE 202
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187
Practice Address - Country:US
Practice Address - Phone:630-653-4358
Practice Address - Fax:630-653-8101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-11
Last Update Date:2019-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty